Dental
Southern Heights Dental Group PA
Southern Heights Dental Group PA was paid $16.20M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 10% of everything it billed.
33Billing provider infoSOUTHERN HEIGHTS DENTAL GROUP PA
FARIBAULT, MN 55021
FARIBAULT, MN 55021
33aNPI1932247921assigned 02/02/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$16.20M
24GClaims327,022
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Minnesota
Rank by total paid#3 of 368
Median peer was paid$19K
This provider vs. median848×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 46,065 | $331K | |
| 2019 | 54,234 | $2.84M | |
| 2020 | 36,364 | $1.87M | |
| 2021 | 49,854 | $2.80M | |
| 2022 | 43,895 | $2.68M | |
| 2023 | 46,346 | $2.62M | |
| 2024incomplete | 50,264 | $3.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 16,627 | 8,696 | $1.67M |
| D1110 | Prophylaxis - adult | 8.1% | 19,809 | 19,679 | $1.31M |
| D1206 | Topical application of fluoride varnish | 7.7% | 37,933 | 37,674 | $1.24M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.4% | 31,921 | 31,720 | $1.20M |
| D1351 | Sealant - per tooth | 6.8% | 32,339 | 8,739 | $1.10M |
| D1120 | Dental cleaning, childProphylaxis - child | 5.0% | 18,991 | 18,871 | $803K |
| D0274 | Bitewings - four radiographic images | 4.9% | 17,169 | 17,034 | $787K |
| D7140 | Extraction, erupted tooth or exposed root | 4.5% | 7,772 | 3,893 | $733K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 7,222 | 4,897 | $604K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 3.6% | 6,437 | 3,856 | $590K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 11,505 | 10,865 | $526K |
| D0330 | Panoramic radiographic image | 2.8% | 5,184 | 5,146 | $461K |
31 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.7% | 9,715 | $437K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.5% | 2,846 | $413K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 15,881 | $355K |
| D2160 | 2.0% | 2,985 | $323K | |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 16,367 | $319K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.9% | 2,714 | $314K |
| D1330 | 1.9% | 9,300 | $312K | |
| D0272 | Bitewings - two radiographic images | 1.8% | 8,570 | $290K |
| D2331 | 1.6% | 2,459 | $265K | |
| D2140 | 1.6% | 3,859 | $264K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 18,571 | $260K |
| D2332 | 1.4% | 1,798 | $234K | |
| D2335 | 1.3% | 1,715 | $205K | |
| D2721 | 1.2% | 148 | $197K | |
| D1354 | 1.2% | 4,471 | $192K | |
| D1310 | <1% | 4,361 | $150K | |
| D2330 | <1% | 1,811 | $141K | |
| D2161 | <1% | 783 | $110K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 444 | $77K |
| D0240 | <1% | 2,062 | $70K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,675 | $53K |
| D2950 | <1% | 193 | $44K | |
| D4341 | <1% | 143 | $38K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 276 | $38K |
| D4355 | <1% | 558 | $21K | |
| D3310 | <1% | 29 | $12K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 272 | $11K |
| D3320 | <1% | 15 | $8K | |
| D7220 | <1% | 22 | $5K | |
| D2394 | <1% | 39 | $4K | |
| D4910 | <1% | 31 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTONJUM, KATE (ADMINISTRATOR)